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<form action=https://prepskills.com/cgi-bin/ntformmail.pl method=post>
<input type=hidden name="recipient"
	value="info@prepskills.com, jseverino@prepskills.com, education@prepskills.com">
<input type=hidden name="redirect"
	value="https://prepskills.com/sent.html"> <input type=hidden
	name="return_link_url" value="https://prepskills.com/sent.html">
<input type=hidden name="subject" value="SAT Webinar Registration">
<input type=hidden name="required"
	value="email, StudentFN, StudentLN, Address, City, PostalCode, TypeofCard, NameonCard, CardNumber, CCExpiryMM, CCExpiryYYYY">

<table bgcolor="034016" border=0 cellpadding="0" cellspacing="0"
	align="center" width="960">
	<tr>

		<td>
		<table bgcolor="ffffff" class="askprepform" border=0 cellpadding="0"
			cellspacing="0" align="center" width="940">

			<tr>
				<td colspan="4" class="style5">
				<div align="center">PREPSKILLS<sup>&reg;</sup> SAT &amp;
				American University Information Webinar</div>
				</td>
			</tr>
			<tr>

				<td colspan="4" valign="top" bgcolor="#EAEAEA" class="style21">
				<p class="style5">What does it take to get in to a US College?</p>
				<p class="style21">Learn the 7 essential steps!</p>
				<p class="style21">Join Joanna Severino, Founder & President of
				PREPSKILLS as she takes you through these 7 essential steps for US
				College Admissions.</p>
				<p class="style21">Applying for entry to an American college is
				a two-year process, and it can be a three-year process if you decide
				to take the PSAT! It's best to be prepared ahead of time, rather
				than finding yourself overwhelmed by obligations, stipulations, and
				specific requirements that you can't meet in <br>
				Grade 12.</p>
				<p class="style21">Ensure that you are prepared to submit your
				application successfully. Join us for our SAT Information Webinar.</p>

				<p class="style21"><strong>Cost</strong>: $59.95 + HST</p>
				<p class="style21"><strong>Date</strong>: Monday, March 7, 2011</p>
				<p class="style21"><strong>Time</strong>: 6:00 PM - 7:30 PM EST
				</p>
				<p class="style21"><span class="style18">* </span>Indicates a
				required field</p>
				</td>
			</tr>

			<tr>
				<td bgcolor="f4f7e7"><span class="style21"> <span
					class="style18">* </span>Email Address:<br>
				<span class="style18">REQUIRED</span></span></td>
				<td colspan="3" bgcolor="f4f7e7"><span class="style21">
				<input type="text" name="email" size="30" border="0"> <br>
				(Important: Course communication, login ID, and other relevant
				parent/student information will be sent to this email address.
				Please ensure that you check your email regularly)</span></td>

			</tr>
			<tr>
				<td colspan="4" bgcolor="#EAEAEA"><span class="style21">How
				did you learn about PREPSKILLS<sup>&reg;</sup>?</span></td>
			</tr>
			<tr>
				<td bgcolor="f4f7e7" width=243><span class="style21">Please
				Select:</span></td>
				<td bgcolor="f4f7e7" width=242><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <select
					name="Reference">
					<option value="Internet search">Internet search</option>
					<option value="School/Teacher">School/Teacher</option>
					<option value="Friend">Friend</option>
					<option value="PREPSKILLS(tm) Seminar">PREPSKILLS Seminar</option>
					<option value="Education Fair">Education Fair</option>
					<option value="Brochure/Flyer">Brochure/Flyer</option>

					<option value="PREPSKILLS(tm) Sign">PREPSKILLS Sign</option>
					<option value="Education Guide">Education Guide</option>
					<option value="Other">Other, Please Specify</option>
				</select> </FONT></span></td>
				<td bgcolor="f4f7e7" width=242><span class="style21">Specify:</span></td>
				<td bgcolor="f4f7e7" width=242><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="OtherReference" type="text" size=30> </FONT></span></td>
			</tr>
			<tr>
				<td colspan="4" bgcolor="#94ce18" class="style5">
				<div align="center">STUDENT INFORMATION</div>
				</td>
			</tr>
			<tr>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21"><span class="style18">*
				</span>Student First Name</div>
				</td>

				<td bgcolor="#EAEAEA">
				<div align="center" class="style21"><span class="style18">*
				</span>Student Last Name</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21">Gender</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21">Current Grade</div>
				</td>
			</tr>
			<tr>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><input type="text"
					name="StudentFN" size="30" border="0"></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><input type="text"
					name="StudentLN" size="30" border="0"></div>
				</td>
				<td bgcolor="f4f7e7" align=center><span class="style21">
				<label> <input type="radio" name="Gender" id="Male"
					value="Male"> </label> Male <label> &nbsp;&nbsp;&nbsp; <input
					type="radio" name="Gender" id="Female" value="Female"> </label>
				Female </span></td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <select
					name="ChildCurrentGrade">
					<option selected="selected" value=""></option>

					<option value="9">9</option>
					<option value="10">10</option>
					<option value="11">11</option>
					<option value="12">12</option>
				</select> </FONT></div>
				</td>
			</tr>

			<tr>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21">Date of Birth</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21">Age</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21">School Presently Attended</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21">Have you written the SAT
				before?&nbsp;</div>
				</td>
			</tr>
			<tr>

				<td bgcolor="f4f7e7">
				<div align="center" class="style21">
				<div align="center"><select name="DOBDD" id="DOBDD">
					<option selected="selected" value=""></option>
					<option value="01">01</option>
					<option value="02">02</option>
					<option value="03">03</option>

					<option value="4">04</option>
					<option value="5">05</option>
					<option value="6">06</option>
					<option value="7">07</option>
					<option value="8">08</option>
					<option value="9">09</option>

					<option value="10">10</option>
					<option value="11">11</option>
					<option value="12">12</option>
					<option value="13">13</option>
					<option value="14">14</option>
					<option value="15">15</option>

					<option value="16">16</option>
					<option value="17">17</option>
					<option value="18">18</option>
					<option value="19">19</option>
					<option value="20">20</option>
					<option value="21">21</option>

					<option value="22">22</option>
					<option value="23">23</option>
					<option value="24">24</option>
					<option value="25">25</option>
					<option value="26">26</option>
					<option value="27">27</option>

					<option value="28">28</option>
					<option value="29">29</option>
					<option value="30">30</option>
					<option value="31">31</option>
				</select> <select name="DOBMM" id="DOBMM">
					<option selected="selected" value=""></option>

					<option value="1">Jan</option>
					<option value="2">Feb</option>
					<option value="3">Mar</option>
					<option value="4">Apr</option>
					<option value="5">May</option>
					<option value="6">Jun</option>

					<option value="7">Jul</option>
					<option value="8">Aug</option>
					<option value="9">Sep</option>
					<option value="10">Oct</option>
					<option value="11">Nov</option>
					<option value="12">Dec</option>

				</select> <select name="DOBYYYY" id="DOBYYYY">
					<option selected="selected" value=""></option>
					<option value="1980">1980</option>
					<option value="1981">1981</option>
					<option value="1982">1982</option>
					<option value="1983">1983</option>

					<option value="1984">1984</option>
					<option value="1985">1985</option>
					<option value="1986">1986</option>
					<option value="1987">1987</option>
					<option value="1988">1988</option>
					<option value="1989">1989</option>

					<option value="1990">1990</option>
					<option value="1991">1991</option>
					<option value="1992">1992</option>
					<option value="1993">1993</option>
					<option value="1994">1994</option>
					<option value="1995">1995</option>

					<option value="1996">1996</option>
					<option value="1997">1997</option>
					<option value="1998">1998</option>
					<option value="1999">1999</option>
					<option value="2000">2000</option>
					<option value="2001">2001</option>

					<option value="2002">2002</option>
					<option value="2003">2003</option>
					<option value="2004">2004</option>
					<option value="2005">2005</option>
					<option value="2006">2006</option>
					<option value="2007">2007</option>

					<option value="2008">2008</option>
				</select></div>
				</div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <select
					name="Age" id="Age">
					<option selected="selected" value=""></option>
					<option value="13">13</option>

					<option value="14">14</option>
					<option value="15">15</option>
					<option value="16">16</option>
					<option value="17">17</option>
					<option value="18">18</option>
					<option value="19">19</option>

					<option value="20">20</option>
					<option value="21">21</option>
					<option value="22">22</option>
					<option value="23">23</option>
					<option value="24">24</option>
					<option value="25">25</option>

					<option value="26">26</option>
					<option value="27">27</option>
					<option value="28">28</option>
					<option value="29">29</option>
					<option value="30">30</option>
				</select></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21">
				<div align="center"><font
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="CurrentSchool" type="text" size=30> </font></div>
				</div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21">
				<div align="center"><select name="WrittenSATorACT"
					id="WrittenSATorACT">

					<option selected="selected" value=""></option>
					<option value="Yes">Yes</option>
					<option value="No">No</option>
				</select></div>
				</div>
				</td>
			</tr>
			<tr>

				<td bgcolor="#EAEAEA"><span class="style24">If yes,
				when? <select name="WriteSATDateMM2" id="WriteSATDateMM">
					<option selected="selected" value=""></option>
					<option value="1">Jan</option>
					<option value="2">Feb</option>
					<option value="3">Mar</option>
					<option value="4">Apr</option>

					<option value="5">May</option>
					<option value="6">Jun</option>
					<option value="7">Jul</option>
					<option value="8">Aug</option>
					<option value="9">Sep</option>
					<option value="10">Oct</option>

					<option value="11">Nov</option>
					<option value="12">Dec</option>
				</select> <select name="WriteSATDateYY" id="WriteSATDateYY">
					<option selected="selected" value=""></option>
					<option value="1980">1980</option>
					<option value="1981">1981</option>

					<option value="1982">1982</option>
					<option value="1983">1983</option>
					<option value="1984">1984</option>
					<option value="1985">1985</option>
					<option value="1986">1986</option>
					<option value="1987">1987</option>

					<option value="1988">1988</option>
					<option value="1989">1989</option>
					<option value="1990">1990</option>
					<option value="1991">1991</option>
					<option value="1992">1992</option>
					<option value="1993">1993</option>

					<option value="1994">1994</option>
					<option value="1995">1995</option>
					<option value="1996">1996</option>
					<option value="1997">1997</option>
					<option value="1998">1998</option>
					<option value="1999">1999</option>

					<option value="2000">2000</option>
					<option value="2001">2001</option>
					<option value="2002">2002</option>
					<option value="2003">2003</option>
					<option value="2004">2004</option>
					<option value="2005">2005</option>

					<option value="2006">2006</option>
					<option value="2007">2007</option>
					<option value="2008">2008</option>
				</select> </span></td>
				<td colspan="2" bgcolor="#EAEAEA" class="style21">
				<div align="center">If not, when do you plan to write your
				SAT?</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><input type="text" name="WhenWritingSAT"
					size="30" border="0"></div>
				</td>
			</tr>
			<tr>
				<td colspan="2" valign="top" bgcolor="f4f7e7"><span
					class="style24">
				<div align="center">Which university are you considering?<br>
				</div></td>
				<td colspan="2" bgcolor="f4f7e7">
				<div align="center"><input type="text"
					name="UniversityConsidered" size="60" border="0"></div>
				</td>
			</tr>
			<tr>
				<td colspan="4" bgcolor="#94ce18" class="style5">
				<div align="center">PARENT INFORMATION</div>
				</td>
			</tr>
			<tr>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">(Mother)
				First Name</span></div>
				</td>

				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Last Name</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Home Phone
				Number</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Email</span></div>
				</td>
			</tr>
			<tr>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="MotherFN" type="text" id="MotherFN" size="30" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="MotherLN" type="text" id="MotherLN" size="30" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="MotherHomePh" type="text" value="(xxx) xxx - xxxx" size="30"
					maxlength="20" id="MotherHomePh" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="MotherEmail" type="text" value="name@domain.com"
					id="MotherEmail" size="30" /> </FONT></span></div>
				</td>
			</tr>
			<tr>
				<td colspan="2" bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Occupation</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Business
				Phone Number</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Cell Phone
				Number</span></div>
				</td>
			</tr>

			<tr>
				<td colspan="2" bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="MotherOccup" type="text" id="MotherOccup" size="60">
				</FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="MotherBusinessPh" type="text" value="(xxx) xxx - xxxx"
					size="30" maxlength="20" id="MotherBusinessPh" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="MotherCell" type="text" value="(xxx) xxx - xxxx" size="30"
					maxlength="20" id="MotherCell" /> </FONT></span></div>
				</td>
			</tr>
			<tr>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">(Father)
				First Name</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Last Name</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Home Phone
				Number</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Email</span></div>
				</td>

			</tr>
			<tr>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="FatherFN" type="text" id="FatherFN" size="30" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="FatherLN" type="text" id="FatherLN" size="30" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="FatherHomePh" type="text" value="(xxx) xxx - xxxx" size="30"
					maxlength="20" id="FatherHomePh" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="FatherEmail" type="text" value="name@domain.com"
					id="FatherEmail" size="30" /> </FONT></span></div>
				</td>
			</tr>
			<tr>
				<td colspan="2" bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Occupation</span></div>
				</td>

				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Business
				Phone Number</span></div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center"><span class="style21">Cell Phone
				Number</span></div>
				</td>
			</tr>
			<tr>
				<td colspan="2" bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="FatherOccup" type="text" id="FatherOccup" size="60">
				</FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="FatherBusinessPh" type="text" value="(xxx) xxx - xxxx"
					size="30" maxlength="25" id="FatherBusinessPh" /> </FONT></span></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center"><span class="style21"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="FatherCell" type="text" value="(xxx) xxx - xxxx" size="30"
					maxlength="25" id="FatherCell" /> </FONT></span></div>
				</td>
			</tr>
			<tr>
				<td colspan="4" bgcolor="#94ce18" class="style5">
				<div align="center">MAILING ADDRESS</div>
				</td>

			</tr>
			<tr>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21"><span class="style18">*
				</span>Address</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21"><span class="style18">*
				</span>City</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21"><span class="style18">*
				</span>Province</div>
				</td>
				<td bgcolor="#EAEAEA">
				<div align="center" class="style21"><span class="style18">*
				</span>Postal Code</div>
				</td>

			</tr>
			<tr>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><font
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="Address" type="text" size="30"> </font></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><font
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="City" type="text" id="City" size="30"> </font></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><select name="Province">
					<option value="Ontario" selected>Ontario</option>
					<option value="Quebec">Quebec</option>
					<option value="Newfoundland">Newfoundland</option>
					<option value="New Brunswick">New Brunswick</option>
					<option value="Nova Scotia">Nova Scotia</option>

					<option value="Prince Edward Island">Prince Edward Island</option>
					<option value="Manitoba">Manitoba</option>
					<option value="Saskatchewan">Saskatchewan</option>
					<option value="Alberta">Alberta</option>
					<option value="British Columbia">British Columbia</option>
					<option value="Northwest Territories">Northwest
					Territories</option>

					<option value="Yukon">Yukon</option>
				</select></div>
				</td>
				<td bgcolor="f4f7e7">
				<div align="center" class="style21"><font
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="PostalCode" type="text" id="PostalCode" size="8"> </font></div>
				</td>
			</tr>
			<tr>

				<td colspan="4" bgcolor="#94ce18" class="style5">
				<div align="center">ADDITIONAL INFORMATION</div>
				</td>
			</tr>
			<tr>
				<td colspan="4" bgcolor="#EAEAEA">
				<div align="center" class="style21">Comments</div>
				</td>
			</tr>
			<tr>
				<td colspan="4" bgcolor="f4f7e7">
				<div align="center"><textarea name="Comments" rows="3"
					cols="110"></textarea></div>
				</td>
			</tr>
			<tr>
				<td colspan="4" bgcolor="#94ce18" class="style5">
				<div align="center">FEES & PAYMENT INFORMATION</div>
				</td>
			</tr>
			<tr>

				<td colspan="4" bgcolor="#EAEAEA"><span class="style21"><strong>FEES:
				$59.95 + HST</strong> </span></td>
			</tr>
			<tr>
				<td bgcolor="#f4f7e7" class="style21">
				<div align="center"><span class="style18">* </span>Type of
				Card</div>
				</td>
				<td bgcolor="#f4f7e7" class="style21">
				<div align="center"><span class="style18">* </span>Name on
				Card</div>
				</td>

				<td bgcolor="#f4f7e7" class="style21">
				<div align="center"><span class="style18">* </span>Card Number</div>
				</td>
				<td bgcolor="#f4f7e7" class="style21">
				<div align="center"><span class="style18">* </span>Expiry Date</div>
				</td>
			</tr>
			<tr>
				<td bgcolor="#EAEAEA" class="style21">
				<div align="center"><select name="TypeofCard">
					<option selected="selected" value=""></option>

					<option value="Visa">Visa</option>
					<option value="Mastercard">Mastercard</option>
				</select></div>
				</td>
				<td bgcolor="#EAEAEA" class="style21">
				<div align="center"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="NameonCard" type="text" id="NameonCard" size="30" /> </FONT></div>
				</td>
				<td bgcolor="#EAEAEA" class="style21">
				<div align="center"><FONT
					face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"> <input
					name="CardNumber" type="text" id="CardNumber" size="30" /> </FONT></div>
				</td>
				<td bgcolor="#EAEAEA" class="style21">
				<div align="center"><select name="CCExpiryMM" id="CCExpiryMM">
					<option selected="selected" value=""></option>
					<option value="01">Jan</option>
					<option value="02">Feb</option>
					<option value="03">Mar</option>

					<option value="04">Apr</option>
					<option value="05">May</option>
					<option value="06">Jun</option>
					<option value="07">Jul</option>
					<option value="08">Aug</option>
					<option value="09">Sep</option>

					<option value="10">Oct</option>
					<option value="11">Nov</option>
					<option value="12">Dec</option>
				</select> <select name="CCExpiryYYYY" id="CCExpiryYYYY">
					<option selected="selected" value=""></option>
					<option value="2009">2009</option>

					<option value="2010">2010</option>
					<option value="2011">2011</option>
					<option value="2012">2012</option>
					<option value="2013">2013</option>
					<option value="2014">2014</option>
					<option value="2015">2015</option>

					<option value="2016">2016</option>
					<option value="2017">2017</option>
					<option value="2018">2018</option>
					<option value="2019">2019</option>
					<option value="2020">2020</option>
				</select></div>
				</td>
			</tr>
			<tr>
				<td colspan="4" bgcolor="#f4f7e7">
				<p class="style21">For more information please phone <span
					class="style18"><strong>(416) 200-7728</strong></span></p>
				<p class="style21"><strong>I assume full responsibility
				for payment</strong>. I have read and acknowledged the <a
					href="http://www.prepskills.com/main/fees-policies" target="_blank">PREPSKILLS
				INC. policy including prepayment, no refunds or make up lessons</a> as
				outlined.</p>

				<p class="style21">I agree to the terms and conditions set forth
				by PREPSKILLS Inc.</p>
				<p class="style21">I recognize and accept that no reputable
				organization can make any guarantee as the development of skills or
				the results of future tests.</p>
				<p class="style21">I hereby release PREPSKILLS INC. or staff and
				the location from all claims, demands, losses, actions suits or
				proceeding rising out of the participation of the applicant named in
				any facility or at any location where the program/tutoring is being
				held.</p>
				<p class="style21">I hereby release PREPSKILLS INC. or staff and
				the location from all claims, demands, losses, actions suits or
				proceeding rising out of the participation of the applicant named in
				any facility or at any location where the program/tutoring is being
				held.</p>
				<p class="style21"><strong><u>Your invoice will be
				issued to you via email upon submitting this online registration.</u></strong></p>
				</td>
			</tr>

			<tr>
				<td colspan="4" bgcolor="#94ce18" class="style5">
				<div align="center"><input type="submit" value="Submit"></div>
				</td>
			</tr>
		</table>
	</td>
	</tr>
</table>
</form>

</body>
</html>